10.06.2014 Views

Can back pain caused by symptom-giving sacroiliac joint relaxation ...

Can back pain caused by symptom-giving sacroiliac joint relaxation ...

Can back pain caused by symptom-giving sacroiliac joint relaxation ...

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

The thoracolumbar fascia is a very tight<br />

structure that inserts into the spinous<br />

processes of the lumbar spine, into the sacrum<br />

and into the iliac crest and continues further<br />

down as the fasciae of the buttocks and the<br />

lower limbs and laterally as the fasciae of the<br />

oblique abdominal muscles.<br />

The posterolateral aspect of the thoracolumbar<br />

fascia is reinforced <strong>by</strong> the fascia of the<br />

latissimus dorsi muscle, which constitutes a<br />

link between the pelvis and the upper limbs,<br />

ending at the cranial aspect of the lateral<br />

bicipital groove. Furthermore it extends down<br />

to the inferior angle of the scapula.<br />

Fig. 1C: Thoracolumbar fascia [35]<br />

The abdominal fascia<br />

In its ventral aspect, the abdominal fascia has<br />

fibres that are crossed over. These fibres are<br />

the continuation of the dorsal fascia, lining the<br />

abdominal wall. Together with the dorsal fascia<br />

they provide for a stable and dynamic pelvic<br />

floor. [35, 58]<br />

Fig. 1D: Abdominal fascia [35]<br />

The peritoneum [18, 35]<br />

The internal female genital organs are located subperitoneally in the pelvis, behind<br />

the bladder, and in front of the rectum. The uterus with the broad ligament of the<br />

uterus is located in the middle of this space. The uterus itself is partly covered <strong>by</strong> the<br />

peritoneum, which is firmly adhered to it. Only its lateral parts are linked to the hip<br />

bones exclusively <strong>by</strong> connective tissue. Recesses formed <strong>by</strong> the peritoneum ventrally<br />

and dorsally to the uterus enable it to glide in the subperitoneal space:<br />

o the vesicouterine excavation<br />

o the rectouterine excavation (pouch of Douglas)<br />

Master’s Thesis Wolfgang Aspalter 15

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!